Yinzhou Xiang1, Lin Yu2, Lianzhi Wei2, Ping Peng3, Ping Gui3. 1. Department of Otolaryngology, People's Hospital of Three Gorges University, First People's Hospital of Yichang, Yichang 443000, China. xiangyinzhou@sina.com 2. Department of Otolaryngology, First Affiliated Hospital of Chongqing Medical University, China. 3. Department of Otolaryngology, People's Hospital of Three Gorges University, First People's Hospital of Yichang, Yichang 443000, China.
Abstract
OBJECTIVE: To explore the clinical characteristics and treatment effect of adenoid cystic carcinoma in nasal cavity and sinuses. METHOD: Sixteen of all 18 cases of adenoid cystic carcinoma of nasal cavity and sinuses were performed operation and radiotherapy. Other 2 cases were performed radiotherapy. RESULT: Eighteen cases of patients were followed up for 5 years. Eight patients with early stage had no death. Five in 10 cases of advanced patients died, one case was out of following-up. In 11 of high differentiation group, 1 case died. In 7 of lower differentiation group, 4 cases died, 1 case lost. CONCLUSION: Adenoid cystic carcinomas of nasal cavity and sinuses are distinct clinicopathological category and the clinical symptoms are noncharacteristic. Paying attention to the differential diagnosis and promoting related knowledge can help to avoid misdiagnosis. The prognosis is related to pathological category and clinical stage. High stage and high invasion of adenoid cystic carcinoma lead to poor prognosis.
OBJECTIVE: To explore the clinical characteristics and treatment effect of adenoid cystic carcinoma in nasal cavity and sinuses. METHOD: Sixteen of all 18 cases of adenoid cystic carcinoma of nasal cavity and sinuses were performed operation and radiotherapy. Other 2 cases were performed radiotherapy. RESULT: Eighteen cases of patients were followed up for 5 years. Eight patients with early stage had no death. Five in 10 cases of advanced patients died, one case was out of following-up. In 11 of high differentiation group, 1 case died. In 7 of lower differentiation group, 4 cases died, 1 case lost. CONCLUSION:Adenoid cystic carcinomas of nasal cavity and sinuses are distinct clinicopathological category and the clinical symptoms are noncharacteristic. Paying attention to the differential diagnosis and promoting related knowledge can help to avoid misdiagnosis. The prognosis is related to pathological category and clinical stage. High stage and high invasion of adenoid cystic carcinoma lead to poor prognosis.
Authors: Luiz Evaristo Ricci Volpato; Lorena Frange Caldas; Paulo Henrique de Souza Castro; Artur Aburad de Carvalhosa; Maria Carmen Palma Faria Volpato; Matheus Coelho Bandéca; Álvaro Henrique Borges Journal: Case Rep Dent Date: 2015-01-29